So wowɔ komayare a ɛte sɛɛ? Momma yensua Diastolic Dysfunction ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw bere a woayɛ adwuma kakra mpo awie no? Anaasɛ wo nan hohoro na wote nka sɛ woabrɛ? Ebia saa nneɛma yi akyi ne tebea a yɛreka ho asɛm nnɛ a wɔfrɛ no `Diastolic Dysfunction`. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Diastolic Dysfunction? Momma yɛnte ase tiawa.

Okay, di kan ma yɛnhwɛ sɛnea yɛn koma yɛ adwuma. So wunim sɛ yɛn koma te sɛ pɔmpɛ? Saa pɔmpɛ yi wɔ afã atitiriw abien. Biako ne adan abien a ɛwɔ koma no atifi, a yɛfrɛ no `Atria` . Ɔfoforo no ne adan abien a ɛwɔ koma no ase, a yɛfrɛ no `Ventricles` .

Afei, sɛ koma no bɔ, kyerɛ sɛ, sɛ `Koma Bɔ` wɔ hɔ a, nneɛma atitiriw abien sisi:

1. Diastole: Eyi ne koma no fã a edi kan. Nea ɛkɔ so wɔ ha ne sɛ koma no mu adan a ɛwɔ fam (ventricles) no dwo kakra, te sɛ balloon a ɛresiesie ne ho sɛ ɛbɛbɔ. Afei mogya a efi atifi dan (atria) no mu hyɛ saa adan yi ma. Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya hyɛ koma no ma.

2. Systole: Sɛ mogya hyɛ ventricles no ma wie a, ɛtwetwe denneennen, anaasɛ ɛtwetwe. Afei wɔde mogya no fi koma no mu, kɔ ahurututu mu, na ɛkɔ aorta, mogya ntini titiriw a ɛde mogya kɔ nipadua no nyinaa mu no mu.

Afei wote nea ``Diastole`` yɛ ase? Diastolic Dysfunction yɛ bere a ``Diastole``, bere a ɛsɛ sɛ koma no ase adan (nkwaboaa) no gye wɔn ahome ma mogya ahyɛ mu ma no, nsi yiye. Sɛ yɛbɛka no pɛpɛɛpɛ a, wo koma no ase adan no yɛ den kakra na ɛnhome yiye. Dɛn na ɛba saa bere no? Saa adan no ntumi mfa mogya nhyɛ mu ma yiye. Sɛ ɛba saa a, nhyɛso fi ase yɛ kɛse wɔ koma no mu.

Susuw ho hwɛ, sɛ sponge betumi atwe nsu a, wontumi nhyɛ no, ɛsɛ sɛ ɛyɛ mmerɛw kakra. Saa ara na sɛ mogya bɛhyɛ koma no mu adan mu ma a, ɛsɛ sɛ wɔma wɔn ho dwo wɔn yiye.

Sɛ saa tebea yi mu yɛ den a, ebetumi ama tebea bi a wɔfrɛ no ``Diastolic Heart Failure`` , a ɛkyerɛ sɛ koma no gyae adwumayɛ aba. Afei, nsu te sɛ nsu betumi aboaboa ano wɔ mmeae te sɛ ahurututu, yafunu, ne nan.

Nsonsonoe bɛn na ɛda Diastolic Dysfunction ne Diastolic Heart Failure ntam?

Saa baanu yi nyɛ pɛ, nanso wɔne wɔn ho wɔn ho wɔ abusuabɔ. ``Diastolic Dysfunction`` ne bere a ɔhaw a ɛwɔ koma no ase adan mu no fi ase gyae. Sɛ eyi mu yɛ den kakra, a ɛkyerɛ sɛ koma no benkum so adan a ɛwɔ fam no yɛ den, na ɛde koma no yare ho sɛnkyerɛnne afoforo ba a, yɛfrɛ no ``Diastolic Heart Failure``.Eyi yɛ komayare bi a ɛka benkum fam.

Obi a ɔwɔ ``Diastolic Heart Failure`` betumi anya sɛnkyerɛnne te sɛ:

• Ɔbrɛ: Ɔbrɛ a wobɛte nka sɛ wowɔ hɔ ara kwa mpo.
• Nan a ɛho ahonhon: Titiriw anansoaa no.
• Akisikuru ne aduan ho akɔnnɔ a ɛyera: Wonte nka sɛ wubedidi, na ebia wo ho bɛtɔ wo.
• Ɔhome a ɛyɛ den (Dyspnea): Ɔhome a ɛyɛ den bere a ɔreyɛ nnwuma a ɛnyɛ den mpo, ɛtɔ mmere bi mpo a bere a wada.
• Mu duru a ɛkɔ soro: Nsu a ɛkɔ mu no betumi ama obi mu duru akɔ soro mpofirim.

Hena na ɛda adi sɛ obenya saa tebea yi? Dɛn ne nneɛma a ɛde asiane ba?

Nokwarem no, obiara betumi anya ``Diastolic Dysfunction``. Nanso, nnipa binom wɔ asiane mu kakra. Ma yɛnhwɛ nnipa ko a wɔyɛ?

• Nnipa a wɔadi boro mfe 70: Asiane a ɛwɔ tebea yi mu no yɛ kɛse bere a worenyin no.
• Nnipa a wɔnyɛ apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a wɔnyɛ ne wɔn a wɔtra ase no betumi aka eyi.
• Nnipa a wɔnom sigaret anaa wɔde tawa nneɛma di dwuma.

Afei nso, asiane no yɛ kɛse mpo sɛ wowɔ akwahosan ho haw ahorow te sɛ:

• Sɛ wo nipadua mu duru (BMI) yɛ 30 anaa nea ɛboro saa (a ɛkyerɛ sɛ woayɛ kɛse mmoroso).
• Sɛ wowɔ koma ntini mu yare (`Cardiomyopathy`) a .
• Sɛ wowɔ asikreyare a .
• Sɛ wowɔ mogya mmoroso (High Blood Pressure / Hypertension) a .
• Sɛ wowɔ ahrawa mu ntini mu yare a .
• Sɛ wowɔ nna mu ahomegye a .

Ɔkwan bɛn so na Diastolic Dysfunction ka nipadua no?

Fa no sɛ, esiane sɛ mogya nhyɛ koma no ase adan no ma sɛnea ɛsɛ nti, ɛsɛ sɛ atifi dan no yɛ adwumaden kɛse na ama wɔatumi abɔ mogya. Eyi ma nhyɛso a ɛwɔ koma no mu no yɛ kɛse. Dɛn na ɛba esiane nhyɛso yi nti?

• Nhyɛso a ɛwɔ mogya ntini a ɛwɔ ahurututu mu no kɔ soro na nsu tumi boaboa ano. Eyi ne bere a ɛyɛ den sɛ ɔbɛhome.
• Nhyɛso a ɛwɔ mogya ntini a ɛwɔ yafunu ne nan mu no kɔ soro, na nsu betumi aboaboa ano wɔ hɔ nso. Eyi betumi ama nneɛma te sɛ aduan ho akɔnnɔ a ɛyera ne nan a ɛho ahonhon.

Bere kɔ so no, saa tebea yi a wɔfrɛ no ``Diastolic Dysfunction`` no betumi abɛyɛ ``Diastolic Heart Failure``. Ɛsan nso yɛ ade titiriw a ɛde ahurututu mu mogya mmoroso ba . Ɛtɔ da bi a ebetumi abata koma a ɛbɔ a ɛnteɛ a wɔfrɛ no ``Atrial Fibrillation`` ho.

Tebea a nnipa dodow no ara a wɔwɔ ``Diastolic Heart Failure`` wɔ ne HFpEF (``Heart Failure with Preserved Ejection Fraction``).Sɛ yɛbɛka no tiawa a, ɛyɛ mogya dodow a koma no de pam (yɛfrɛ no `Ejection Fraction`) na ɛyɛ nea ɛfata, nanso ɛda so ara da koma no huammɔdi ho sɛnkyerɛnne adi.

Saa tebea yi abu so dɛn?

Diastolic dysfunction yɛ tebea a ɛtaa ba wɔn a wɔn mfe akɔ anim mu. Sɛnea aduruyɛ ho abenfo binom kyerɛ no, ebia nnipa a wɔadi boro mfe 70 no mu bɛyɛ fã wɔ diastolic dysfunction bi. Nanso, ɛnyɛ nea abu so saa wɔ mmofra ne nnipa a wonnii mfe 70 mu.

Dɛn ne Diastolic Dysfunction ho sɛnkyerɛnne ahorow?

Nnipa pii wɔ ``Diastolic Dysfunction`` a ɛnyɛ den . Ebia wobɛte nka sɛ wo home yɛ wo yaw kakra bere a worebɔ mmɔden kakra, te sɛ antweri a wobɛforo no. Nanso, bere a tebea no kɔ so no, ɔhome yɛ den kɛse na ``Diastolic Heart Failure`` ho sɛnkyerɛnne betumi aba.

Dɛn ne nneɛma a ɛde Diastolic Dysfunction ba?

Nneɛma atitiriw pii nti na ɛte saa. Asiane ahorow a yɛadi kan aka ho asɛm no nso ne eyi wɔ abusuabɔ.

• Coronary Artery Disease: Ntini a ɛma mogya kɔ koma no mu no siw.
• Asikyireyareɛ.
• Mogya mmoroso (`Mogya Nhyɛso a ɛkɔ soro / Hypertension`).
• Sɛ woadi kan anya komayare a.
• Dae mu ahomegye a ɛyɛ den.

Ɔkwan bɛn so na wobetumi ahu tebea yi? (Nyare a Wɔahu) .

Sɛ wo duruyɛfo susuw sɛ wowɔ saa tebea yi a, ɛda adi sɛ wɔde wo bɛkɔ akɔyɛ echocardiogram ( a wɔsan frɛ no "echo test") .

Echo sɔhwɛ te sɛ ultrasound scan. Ɛhwɛ sɛnea wo koma rebɔ mogya yiye, sɛnea wo koma ntini ahorow no reyɛ adwuma yiye, sɛnea wo koma dan no afasu mu yɛ duru, ne sɛnea ɛhome yiye. Eyi ho hia yiye na woahu sɛ ebia wowɔ diastolic dysfunction anaa.

So wɔde Diastolic Dysfunction no toto sɛnea emu yɛ den te? (Afrafrade) .

Yiw, nnuruyɛfo kyekyɛ tebea yi mu sɛnea emu yɛ den te. Wɔfrɛ no "Grades".

• Grade I: Eyi yɛ mmerɛwyɛ a emu nyɛ den wɔ koma no tumi a ɛde gye n’ahome no mu. Wɔtaa hu eyi wɔ nnipa a wɔadi boro mfe 60 mu.
• Grade II: Nhyɛso a ɛwɔ koma no benkum so no kɔ soro kakra.
• Grade III: Nhyɛso a ɛwɔ koma no benkum so no kɔ soro kɛse.
• Grade IV: Eyi yɛ komayare a emu yɛ den. Nhyɛso a ɛwɔ koma no benkum so no dɔɔso yiye.

Dɛn ne ayaresa ahorow a wɔde sa Diastolic Dysfunction?

Nea eye sen biara ne sɛ, ayaresa ahorow wɔ hɔ a wɔde sa tebea yi. Ayaresa ahorow pii wɔ hɔ a wobetumi afa so:

1. Asetra mu nsakrae: Eyi ho hia paa.

• Sɛ wonom sigaret a, gyae.
• Nkyene (sodium) a ɛwɔ nnuan mu a wɔtew so.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa (titiriw apɔw-mu-teɛteɛ a ɛma mframa bɔ te sɛ nantew ne sakre so tra).
• Ebia wo duruyɛfo nso de wo bɛkɔ nhyehyɛe bi a wɔde siesie koma , a ebetumi aboa ma wo koma akwahosan atu mpɔn.

2. Nnuru ahorow a wɔde di dwuma:

• Nnuru a wɔde hyɛ nipadua mu (anaasɛ "nsu mu nnuru"): Eyinom boa ma nsu a ɛho nhia a aboaboa ano wɔ nipadua no mu no so tew.
• Sɛ wowɔ nyarewa afoforo te sɛ mogya mmoroso anaa asikreyare a, wobetumi ama wo nnuru ahorow a ɛsono emu biara de asiw ano .

3. Left Ventricular Assist Devices (LVADs): Eyinom yɛ mfiri nketewa a wɔde oprehyɛn hyɛ koma no mu de boa koma no ma ɛtwetwe mogya. Wɔtaa de di dwuma wɔ Diastolic Heart Failure a emu yɛ den mu, titiriw bere a tumi a koma no tumi de bɔ mogya (Systolic Function) nso so tew kɛse no.

4. Koma a Wɔde Ma: Wosusuw eyi ho wɔ tebea horow a emu yɛ den yiye mu nkutoo, bere a ayaresa foforo biara nyɛɛ adwuma no. Nnipa dodow no ara betumi de asetra mu nsakrae ne nnuru adi tebea yi ho dwuma.

So wobetumi asiw Diastolic Dysfunction ano?

Yiw, ebetumi aba wɔ ɔkwan kɛse so! Suban ahorow a ɛma koma nya ahoɔden akyi a wobedi no betumi atew asiane yi so. Dɛn ne saa suban ahorow no?

• Kura mu duru a ɛfata mu ma wo tenten, wo mfe a woadi, ne wo bɔbeasu.
• Kwati tawa ne nsa. To caffeine (tii, kɔfe) a wobɛnom ano hye.
• Di aduan a ɛkari pɛ a nnuaba, nhabannuru, atoko, aburow a wɔayam, srade a ahoɔden wom (sɛ nhwɛso no, ngodua ngo, avocado), ne protein a ɛnyɛ den (mpataa, akokɔ) pii wom.
• Anyɛ yiye koraa no, yɛ simma 150 apɔw-mu-teɛteɛ a ɛma mframa bɔ (te sɛ nantew a ɛyɛ ntɛmntɛm, mmirikatu, asuguare) dapɛn biara.
• Sɛ wowɔ ayaresa tebea afoforo (te sɛ asikreyare, mogya mmoroso) a, di wo duruyɛfo akwankyerɛ akyi na fa nnuru a wɔakyerɛw ama wo no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.
• Tow srade a ɛyɛ dɛ, nkyene, ne asikre a wɔayam no yiye a wubedi no ano hye.
• Di adwennwen ho dwuma (denam adwennwen, yoga, obi a wowɔ ne mu ahotoso a wo ne no bɛkasa, ne nea ɛkeka ho so).
• Anyɛ yiye koraa no, da yiye nnɔnhwerew 7-8 anadwo.

Sɛ wowɔ diastolic dysfunction a, dɛn na ɛba? Dɛn na wubetumi ahwɛ kwan?

Sɛ wɔansa a, tebea a ɛne ``Diastolic Dysfunction`` no betumi asɛe nkakrankakra na ama koma no ayɛ adwuma yiye. Mmom,Nnipa pii betumi adi tebea yi ho dwuma yiye na wɔde asetra mu nsakrae ne nnuru atra ase sɛnea ɛsɛ.

Nea ɛho hia sen biara ne sɛ, sɛ wowɔ saa tebea yi a, wokɔ aduruyɛ mu nhwehwɛmu daa na wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Afei, wo duruyɛfo betumi ahwɛ wo tebea no na sɛ ɛho hia a, ɔde ayaresa afoforo aka ho.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wowɔ anaasɛ wususuw sɛ wowɔ diastolic dysfunction a, wubetumi abisa wo duruyɛfo nsɛm yi:

• Dɛn na ɛda adi sɛ ɛde saa sɛnkyerɛnne ahorow yi ba a mewɔ no?
• Dɛn ne ``Diastolic Dysfunction`` ho sɛnkyerɛnne a edi kan?
• Nhwehwɛmu bɛn na ɛsɛ sɛ meyɛ na ama mahu tebea yi pɛpɛɛpɛ?
• Dɛn ne ayaresa a wobetumi apaw ama ``Diastolic Dysfunction``?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’asetra kwan mu na ama asiane a ɛwɔ hɔ sɛ tebea yi bɛkɔ so asɛe no so atew?

Dɛn ne ade titiriw a ɛde Diastolic Dysfunction ba?

Mogya mmoroso a wontumi nni so ne ade a ɛtaa de diastolic diastolic dysfunction ne diastolic komayare ba sen biara na ɛde ba titiriw.

Bere tenten ahe na wubetumi atra ase wɔ Diastolic Dysfunction ho?

Asɛmpa bi wɔ hɔ! Nnipa a wɔwɔ ``Diastolic Dysfunction`` a wonni coronary artery disease no betumi atra ase akyɛ te sɛ obi a ɔwɔ apɔwmuden a wadi mfe koro. Nanso, sɛ wowɔ ``Diastolic Dysfunction`` ka koma mu tebea afoforo (te sɛ coronary artery disease, systolic heart failure) ho a, ebia tebea no bɛyɛ soronko kakra. Ɛno nti na ɛho hia paa sɛ wunya ayaresa a ɛfata na wudi wo duruyɛfo afotu akyi no.

Nkrasɛm a Wɔde Kɔ Fie

Diastolic dysfunction yɛ bere a koma no ase adan no ntumi nnye n’ahome yiye na mogya ahyɛ mu ma no. Eyi ma nhyɛso a ɛwɔ koma no mu no yɛ kɛse, na awiei koraa no ebetumi ama koma no ayɛ adwuma yiye.

Nanso mma ɛnhaw wo! Eyi yɛ tebea a wobetumi adi so yiye denam asetra mu nsakrae pa, nnuru a wɔde ma sɛ ɛho hia a, ne aduruyɛ a wɔhwɛ so daa so. Hwɛ wo koma so na bɔ bra pa. Sɛ wowɔ biribi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa.

` Diastolic dysfunction, komayare, komayare, ahome a ɛyɛ tiaa, mogya mmoroso, asikreyare, komayare